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Case Reports

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Ascites, high CA-125 and chronic pelvic pain in an unusual clinical manifestation of Enterobius vermicularis ovarian and sigmoid colon granuloma

  • M. Podgajski1,*,
  • V. Kukura1
  • Z. Duic1
  • S. Gasparov2
  • M. Madzarac3

1Deparment of Obstetrics and Gynecology, Croatia

2Depamnent of Pathology, Merkur University Hospital, Croatia

3Medical School Univerity of Zagreb, Zagreb, Croatia

DOI: 10.12892/ejgo200706513 Vol.28,Issue 6,November 2007 pp.513-516

Published: 10 November 2007

*Corresponding Author(s): M. Podgajski E-mail:

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Abstract

We present a case of a 36-year-old Caucasian woman with ascites, elevated CA-125, an enlarged left ovary and chronic pelvic pain who underwent an unnecessary surgical intervention because of suspected malignant disease. During the operation ovarian and sigmoid colon granulomatous tumors caused by Enterobius vermicularis infestation were revealed. In this case, the presence of Enterobius vermicularis ova in the abdominal cavity appears to have caused a sufficient reaction to produce symptoms and signs of malignancy leading to surgical intervention. Moreover, awareness that such lesions may occur is important since the lesions and clinical signs may be misinterpreted as being malignant with subsequent unnecessary surgical intervention.

Keywords

Ascites; CA-125; Chronic pelvic pain; Enterobius vermicularis; Malignancy

Cite and Share

M. Podgajski,V. Kukura,Z. Duic,S. Gasparov,M. Madzarac. Ascites, high CA-125 and chronic pelvic pain in an unusual clinical manifestation of Enterobius vermicularis ovarian and sigmoid colon granuloma. European Journal of Gynaecological Oncology. 2007. 28(6);513-516.

URL:

https://www.ejgo.net/articles/10.12892/ejgo200706513

References

[1] Tsung S.H., Loh W.-P.: "Invasion of the Fallopian tube by Enterobius vermicularis". Ann. Clin. Lab. Sci.. 1979. 9, 393.

[2] Mc Mahon J.N., Connolly C.E., Long S.W., Meehan F.P "Enterobius granulomas of the uterus, ovary and pelvic peritoneum Two case reports". Br. 1. Obstet. Gynecol., 1984, 91, 289.

[3] Donofrio V., Insabato L., Massetti G., Boscaino A., De Rosa G "Enterobius vermicularis granuloma of the ovary: Report of a case with diagnosis by intraoperative cytology". Diagn. Cytopathol., 1994, 11, 205.

[4] Timmerman D., Moerman P., Vergote I.: "Meigs'syndrome with elevated serum CA 125 levels: two case reports and review of the literature". Gynecol. Oneal., 1995, 59,405.

[5] Wiebe B.M.: "Appendicitis and Enterobius vermicularis". Scand. J. Gastroenterol., 1991, 26, 336.

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